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Showing results for "event".

121. TeamSTEPPS Implementation Guide (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/essentials/implguide_0.pdf
     March 01, 2006 - the need for a TeamSTEPPS Intervention could originate from a variety of sources, including adverse event … Available organizational data, (e.g., adverse event and near miss reports, AHRQ Patient Safety Culture …  Another simple data calculation is time-to-event-occurrence, or the elapsed time from a defined … starting point to the occurrence of a specific event. … Examples include event counts, rates (percentages), survey scores, and time-to-event occurrences.

122. E-Fetal-Monitoring Facguide (doc file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.docx
     May 01, 2017 - cases of perinatal death or permanent disability reported to The Joint Commission under its sentinel event-reporting … Slide 12 SAY: A unit can decide its approach to debriefing events based on seriousness of event, expertise … Informal debriefings can be used by the clinical team immediately following a near miss or actual adverse event

123. Diagnostic Safety Grants Awarded in FY 2022 | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/diagnostic-safety/research/grants-2022.html
     March 01, 2024 - Expand on our preliminary work in ambulatory care and analyze data from two national patient safety event … Integrate the taxonomy into currently deployed event reporting systems.

124. 2017Qdr-Patsafchartbook (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
     October 01, 2018 - • Hospital patients with an anticoagulant-related adverse drug event due to low-molecular- weight … , with day of device placement being Day 1 and the line also being in place on the date of event or … If a CL or UC was in place for >2 calendar days and then removed, the date of event of the LCBI must … Adverse Drug Events • An adverse drug event (ADE) is an injury—including physical harm, mental harm, … • The three initial targets of the HHS National Action Plan for Adverse Drug Event Prevention are:

125. Strategy 4: IDEA Discharge Planning (Tool 1) (doc file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.docx
     January 01, 2010 - engaging patients and families in discharge planning Nearly 20 percent of patients experience an adverse event … Remember that discharge is not a one-time event but a process that takes place throughout the hospital … Discharge planning should be an ongoing process throughout the stay, not a one-time event.

126. Strategy 4: IDEA Discharge Planning (Tool 1) (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.pdf
     January 01, 2010 - patients and families in discharge planning Nearly 20 percent of patients experience an adverse event … Remember that discharge is not a one-time event but a process that takes place throughout the hospital … Discharge planning should be an ongoing process throughout the stay, not a one-time event.

127. AHRQ Researchers Find Link Between Job Flexibility and Healthcare Access and Use | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/news/newsletters/e-newsletter/818.html
     June 01, 2022 - authors of the study, published in JAMA Network Open , cross-referenced Medicare patient-level adverse event … between 2010 and 2019, they found that patients were 13 percent more likely to suffer from an adverse event

128. Diagnostic Safety Centers of Excellence | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/patient-safety/diagnostic-excellence-grants/index.html
     June 01, 2023 - Expand on our preliminary work in ambulatory care and analyze data from two national patient safety event … Integrate the taxonomy into currently deployed event reporting systems.

129. TeamSTEPPS Fundamentals Course: Module 3. Communication | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/teamstepps/instructor/fundamentals/module3/slcommunication.html
     July 01, 2018 - **(JC Sentinel Event Data (Root Causes by Event Type) 2004-2012).

130. AHRQ Signals Intent To Fund Clinics To Improve Care for People With Long COVID | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/news/newsletters/e-newsletter/852.html
     February 01, 2023 - Food and Drug Administration’s Adverse Event Reporting System from January 2004 through June 2020. … It found a total of 787 reports that pointed to an adverse event from a colchicine drug interaction.

131. Medication Management Strategy: Intervention | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/patient-safety/reports/engage/interventions/medmanage.html
     June 01, 2023 - will also help to identify patient behaviors that may be putting patients at risk for an adverse drug event

132. Winners Selected in Challenge Competition To Create TeamSTEPPS Training Videos | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/news/newsletters/e-newsletter/878.html
     August 01, 2023 - Primary Care Research , will feature AHRQ grantees discussing their research on engaging patients in event … Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event

133. AHRQ National Scorecard on Hospital-Acquired Conditions: Final Results for 2014 Through 2017 (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
     July 01, 2020 - Measures used to estimate the national HAC rate HAC Type Source Measure Adverse Drug Event MPSMS … Acquired Conditions MPSMS Femoral Artery Puncture for Catheter Angiographic Procedures MPSMS Adverse Event … Associated With Hip Joint Replacements MPSMS Adverse Event Associated With Knee Joint Replacements … for all patients for which the MPSMS data are used, we follow these steps: • Multiply the adverse event … Catheter Angiographic Procedures 22,075 0.74 15,907 0.53 9,118 0.31 15,176 0.51 MPSMS Adverse Event

134. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-mar2023.pdf
     July 14, 2023 - • Common Formats for Event Reporting – Diagnostic Safety o Released the Common Formats for Event

135. Peer Support Interaction—Nurse: Video | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/patient-safety/settings/hospital/candor/videos/nurses.html
     August 01, 2022 - video demonstrates an example of emotional support provided for the nurse caregiver after an adverse event

136. United States Health Information Knowledgebase | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/data/ushik.html
     July 01, 2022 - patient; and unsafe condition - any circumstance that increases the probability of a patient safety event … elements individually and compare two versions of the Common Formats with each other (Common Formats for Event

137. Assess Your Health Care Quality Reporting Project | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/talkingquality/assess/index.html
     September 01, 2019 - Project Reporting comparative quality information to consumers is typically not a one-time event

138. States That Didn’t Expand Medicaid Lost New General Internists to Expansion States | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/news/newsletters/e-newsletter/816.html
     May 01, 2022 - human errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse event … Collaborative case review: a systems-based approach to patient safety event investigation and analysis

139. Creating a Safe Medicine List: Patient Information/Reminder Flyer (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-patient-flier-final508.pdf
     April 12, 2018 - ■ Answer your questions. 1 in 9 emergency department admissions are related to an adverse drug event

140. TeamSTEPPS Teamwork Perceptions Questionnaire (T-TPQ) (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/teampercept.pdf
     March 21, 2014 - My supervisor/manager provides opportunities to discuss the unit’s performance after an event.